Individual
KIMBERLY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
828 E 149TH ST APT 812, BRONX, NY 10455-0967
(929) 299-9799
Mailing address
828 E 149TH ST APT 812, BRONX, NY 10455-0967
(929) 299-9799
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
790144
NY
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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